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BRADLEE SPINE CENTER PC NPI 1215159637


NPI Information

NPI: 1215159637
Provider Name: BRADLEE SPINE CENTER, PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3541 W. BRADDOCK ROAD SUITE 203
ALEXANDRIA, VA
ZIP 22032
Phone: (703) 379-4055
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BRADLEE SPINE CENTER, PC is a chiropractor in Alexandria, VA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BRADLEE SPINE CENTER, PC NPI is 1215159637. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3541 W. BRADDOCK ROAD SUITE 203
ALEXANDRIA, VA
ZIP 22032-902
Phone: (703) 379-4055
Fax: (703) 379-1099

The provider's authorized official is Richard Keith Solomon .
The authorized official title is President & Chiropractor and has the following contact phone number (703) 379-4055.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor0104001984VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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